Individual provider Active NPI

Jennifer Rose Mullinax, MD

  • Pediatrics Physician
  • Blairsville, GA
National Provider Identifier
1174770374
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
103563 Issued in GA
Practice address
77 Weaver Rd Ste B
Blairsville, GA 30512-3136
Phone
(706) 439-6165
Fax
(706) 439-6166
NPI assigned
Aug 19, 2008
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 103563 GA Primary

Addresses

Primary practice location

77 Weaver Rd Ste B
Blairsville, GA 30512-3136

Mailing address

77 Weaver Rd Ste B
Blairsville, GA 30512-3136
Phone (706) 439-6165

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifermullinax@uniongeneral.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240916002044 NC Practitioner - General Practice 7618190091 Reassigns benefits to 1 organization
I20250527002755 GA Practitioner - Pediatric Medicine 7618190091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Union General Affiliated Services, LLC Pediatrics CurrentSince May 21, 2025 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Jun 10, 2024 Accepting new patients
Union General Affiliated Services, LLC CurrentSince May 21, 2025 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Jun 10, 2024 Accepting new patients
Union General Affiliated Services, LLC Current Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients
Appalachian Mountain Community Health Centers PastSince Jul 1, 2024 Accepting new patients
Union County Hospital Authority Past Accepting new patients

Locations

123 Weaver Rd
#A
Blairsville, GA 30512
Phone (706) 745-9417

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

77 Weaver Rd
#B
Blairsville, GA 30512
Phone (706) 439-6165

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131

4226 E US 64 Alt
Murphy, NC 28906
Phone (828) 479-6434

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1174770374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WEAVER RD STE B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123136",
            "telephone_number": "706-439-6165",
            "fax_number": "706-439-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WEAVER RD STE B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123136",
            "telephone_number": "706-439-6165",
            "fax_number": "706-439-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINAX",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "103563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifermullinax@uniongeneral.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "77 Weaver Rd Ste B",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305123136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.